About a Healthy Brain

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

ABOUT A HEALTHY BRAIN

Practice address

19403 Buckingham Way
Germantown, MD 20874-4665

Phone

(240) 756-1682

NPI assigned

Jun 12, 2023

Last updated

Jun 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra April Latoak Lee, PMHNP B.C.NPI 1922725837

Title

Nurse Practitioner

Phone

(240) 756-1682

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra April Latoak Lee, MSN PMHN APRN B.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, MD
  • NPI 1922725837
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1477237303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR",
            "address_2": "2724",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20875",
            "telephone_number": "240-756-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19403 BUCKINGHAM WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744665",
            "telephone_number": "240-756-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT A HEALTHY BRAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "APRIL LATOAK",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-756-1682",
        "authorized_official_credential": "PMHNP B.C."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&Z Home Health Care LLC (A&Z Home Health Care)
• Aa Plus Adult Medical Day Care Center Corporation
• Gisele Abate
• Abdullah & Vinayakom M D LLC
• Jafer Ali Abidi, MD
• John Verghese Abraham, M.D.
• Steven Abraham, OD
• Michael Lewis Abrahams, M.S.S.W.
• Absolute Care Nursing & Home Health Care Services, LLC
• Access Care LLC

• Adult Development & Aging Psychologist in Germantown, MD
• Providers in Germantown, MD by specialty
• Adult Development & Aging Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.